Karen Michelle Parks, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT001375 Issued in GA

Practice address

4212 Coral Park Dr Ste E
Brunswick, GA 31520-3016

Phone

(912) 996-2069

Fax

(912) 265-0041

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Therapies of SE Ga, LLC

  • Pediatric Occupational Therapist
  • Brunswick, GA
  • NPI 1841577111

  Pediatrics

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1932284403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CORAL PARK DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-996-2069",
            "fax_number": "912-265-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CORAL PARK DR STE E",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203016",
            "telephone_number": "912-996-2069",
            "fax_number": "912-265-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 S Pierce St Ste A",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "GA",
            "postal_code": "315103718",
            "country_code": "US",
            "telephone_number": "912-996-2069",
            "fax_number": "912-265-0041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 N Gross Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Kingsland",
            "state": "GA",
            "postal_code": "315486263",
            "country_code": "US",
            "telephone_number": "912-342-8875",
            "fax_number": "912-265-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT001375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760528954A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela S Wood LCSW PC
• Stephen George Pappas, M.D.
• Paradigm Labs, LLC
• Daphine Parker, RN
• Emily Lorraine Parks, CF-SLP
• Parkwood Medical Center
• Parkwood Podiatry Associates, LLC
• Parmelee Eye Care LLC
• Megan Rachel Parrish
• Partners in Health LLC

• Pediatric Occupational Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.